HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
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BUILDING PERMIT StLBY
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SUB -CONTRACTOR AGREEMENT Clp Crn/nf�
CYl have agreed to be
(C any Name/Irldi4O altNa�)n
the Lk. 1 Sub -contractor for
( •yp o m e (Primary Contractor)
For the project located at
or
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It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
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LINTY CERTIFICATION NUMBER ,
State of Florida, County of S4. L1,,. �) t7--
The foregoing instrument was signed before me this 15; day of y��-p
1 , 2010 by D (n' . I Y l
who is personally known or has produced a
as identification.
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Signa ure of Noto A
ary Dblic
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Print Name of Notary yunuc
Fur.,AUDREYB.HUMPHREYMYCOMMISSION#GG300317
EXPIRES: March 6.2023 ;
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Revised ll/162016
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CO CERTIFICATION NUMBER
State of Florida, County of�G
The foregoing instrument was signed before me this day of
Y N p ll. 20M, by ei)
who is personally known _or has produced a C
as identification. {I'I /J^
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S ature ofNotar ublic ���f//
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Print Name of Notary P lic
• •:;:i�:?"'�• AUDREY B. HUMPHREY
mA• �;; MY COMMISSIUN#GG 300817
;�•�o-` EXPIRES: March 6, 2023
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
the r I e. G'r- i t cau - Sub -contractor for
For the project located at
ID
(Primary Contractor)
SCANIVtD
St. LUCB (',ntinh
have agreed to be
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
Z(I _ - -IOR- IGN T RE"(Qua ter)
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FIDT
COUNTY CERTIFICATION NU
State of Florida, County of
The foregoing instrument was signed before me this day of Tye
u�l .20Arby / . �Tj K.
who is personally known _or has produced a
as identification.
TAMP
Signature of Notary t kc
JCA ogg-u )u m�
Print Name of N tary Pu I
is
1
AUOREY B
. '" ti - MY COMMISSION # GG 300817 li .
EXPIRES: Wet` 6.2023
��>ea`r Puh;!c!ladenw;lers �
Revised 11/16/2016
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COU TY CERTIFICATION NUEEyLZ�` '
State of Florida, County of y��
The foregoing instrument was signed before me thisd of
20 i�% by A G
who is personally known _or has
as
Print Name of Notary T blic
FE
ed Thtu Notary Pu__�_ bfi�0"dem!��"
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ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SC N tD
SUB -CONTRACTOR AGREEMENT St. LUCB (`Ol n,
cam_ /TC1/VA4<' have agreed to be
%Rm
(Type
For the project located at
W
Sub -contractor for
(Primary Contractor)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
—CONTRACTOR SIWNATURVeIiffier) `SUR` ONTr6WFORSIGNA!0E )
PRINT ]VpINE PRINT NAB
COUNTY CERTIFICATIONNUMBER
, ,, Q `,p
State of Florida, County of S4' L ✓ l
The foregoing instrumentwassigned before me this Isday oI
Q�� 1% • 20 l=h by /th h f 2 r
who is personally known _or has produced a
as identification. ���yyy ,,, ___ ��-
/SWAMP
Signature of Notary Poo
c v
_m�m��,y
Print Name of Notary Pulblic
E
. AUDREY B. HUMPHREY
"h1Y COMMISSION#GG300817 EXPIES: March6,2023
x° PoblicUndeM'rilera
Revised ll/162016 :' Bonded Thtu Nolary
ng 1A .
COU14TY CERTIFICATION NU(MBBVR �,� p�
State of Florida, County of � 1 • 1 "" '
The foregoing instrument was signed before me this 15-"day of ,_/.
V V k_V , 20 t 1 e{h by / o AAA ,',(///1/ ed -
who is personally known or has produced
as identification. '`'�C/�/'/',/�,,/_
✓/Y�'_j�L%/�t��� STAMP
Signature of Not rPublic V
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Print Name of Notary Public
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PHREYGG 3008176, 2023ic Undcnsdtero